Fillable Covid-19-relief-application-form Application for Relief from Import Duties for goods Imported to combat COVID-19

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Covid-19-relief-application-form Application for Relief from Import Duties for goods Imported to combat COVID-19

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RPC014017_EN_WB_L_2
Application for Relief from Import Duties for goods
Imported to combat COVID-19
ARTICLES 74–80 COUNCIL REGULATION NO.1186/2009 AND ARTICLES 51-57 COUNCIL DIRECTIVE
2009/132/EC AND COMMISSION DECISION (EU) 2020/491 OF 3 APRIL 2020
Name of Importer:
Address (include Eircode):
Telephone Contact Details:
EORI Number:
COVID-19 Relief Authorisation number (for ofcial use only) ________________________
Organisation Type Tick as appropriate
1. State bodies, public bodies and other bodies governed by public law
2. Disaster Relief Agencies
3. Other organisations approved by Revenue
4. Importing on behalf of 1, 2 or 3
*Ifno.4istickedabove,writtenconrmationisrequiredfromtherelevantorganisationthatyouare
importing the goods on their behalf (see template attached below).
I hereby agree to the conditions of Articles 78, 79 and 80 of Council Regulation 1186/2009 and
Articles 55, 56 and 57 of Council Directive 2009/132/EC as follows:
• The goods should be intended for one of the following uses:
distribution free of charge to the persons affected by or at risk from or involved in combating the
COVID-19 outbreak by the bodies and organisations referred to above;
making them available to the persons affected by or at risk from or involved in combating the
COVID-19 outbreak free of charge while the goods remain the property of the bodies and
organisations referred to above
• Goodscanonlybetransferred,lentorhiredouttootherqualifyingorganisationswithpriorapproval
from Revenue. In other cases, loan, hiring out or transfer will be subject to payment of import duties.
• Ifgoodsremaininthepossessionoforganisationswhichceasetofulltheconditionsgiving
entitlement to relief, the goods shall be subject to the payment of import duties.
• SufcientrecordingkeepingmustbeinplacetoallowRevenueestablishthatallconditionsoftherelief
are met.
If the goods are used by the organisation beneting from the relief for purposes other than those
approved, the goods shall be liable to the relevant import duties.
Signed: _______________________________________ Date: ____________________
Position: _______________________________________
Please email the fully completed application form to customsreliefs@revenue.ie
TheRevenueCommissionerscollecttaxesanddutiesandimplementcustomscontrols.Revenuerequires
customers to provide certain personal data for these purposes and certain other statutory functions as
assigned by the Oireachtas. Your personal data may be exchanged with other Government Departments
and agencies in certain circumstances where this is provided for by law. Revenue’s data protection policy
and information on your data protection rights are available on www.revenue.ie.
DECLARATION IN RESPECT OF GOODS IMPORTED TO COMBAT COVID-19
ARTICLES 74–80 COUNCIL REGULATION NO.1186/2009 AND ARTICLES 51-57 COUNCIL DIRECTIVE
2009/132/EC AND COMMISSION DECISION (EU) 2020/491 OF 3 APRIL 2020
Name of Importer:
Address of Importer
(include Eircode):
EORI Number:
GOODS TO BE IMPORTED
Description of goods Estimated quantity
I wish to declare that these goods are imported on our behalf to assist in combatting COVID-19.
Name: ___________________________________________ (Block Capitals)
Signature: ________________________________________ Date: ______________________
Position (e.g. Chairman / Secretary / Director / Manager): _____________________________________
Stamp:
This declaration should be printed on the headed paper of the organisation,
signed, scanned and emailed to customsreliefs@revenue.ie
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Covid-19-relief-application-form Application for Relief from Import Duties for goods Imported to combat COVID-19

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Completed 2 July 2020

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